Oral antidepressant formulation with reduced excipient load

ABSTRACT

Provided are methods for reducing the excipient load of pharmaceutical formulations containing 3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide as the active pharmaceutical ingredient, and compositions related thereto. In particular, provided is a pharmaceutical product comprising 3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide and a stabilizer admixed throughout a solid-form unilamellar matrix, wherein the ratio of 3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide to stabilizer ranges from about 2:3 to about 1:10, and related methods of forming the pharmaceutical product.

CROSS-REFERENCE TO RELATED APPLICATIONS

The present application is a continuation of U.S. Ser. No. 12/860,358filed Aug. 20, 2010 which claims the benefit to U.S. ProvisionalApplication No. 61/301,907, filed Feb. 5, 2010, the contents of whichare each incorporated herein by reference in their entirety.

FIELD OF THE INVENTION

The present invention relates generally to pharmaceutical formulationscontaining 3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxideas the active pharmaceutical ingredient and, more specifically, topharmaceutical products and methods for reducing the excipient load ofpharmaceutical formulations comprising admixed3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide and astabilizer.

BACKGROUND

Approximately one-third of the drugs in the United States Pharmacopoeiaare water-insoluble or poorly water-soluble. Many currently availableinjectable formulations of such drugs carry important adverse warningson their labels that originate from detergents and other agents used fortheir solubilization. Oral formulations of water-insoluble drugs orcompounds with biological uses frequently show poor and erraticbioavailability or require inordinately large quantities of excipientrelative to active pharmaceutical ingredient. In addition,water-solubility problems delay or completely block the development ofmany new drugs and other biologically useful compounds.

SUMMARY

The present invention provides, in one aspect, a pharmaceutical productcomprising an admixture of3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide and astabilizer. In one embodiment, the ratio of3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide tostabilizer ranges from about 2:3 to about 1:10. In one embodiment, the3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide andstabilizer are a solid-form unilamellar matrix. In one embodiment, nomore than about 10 percent of the total3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide changesmorphology when the pharmaceutical product is stored for 40 days at 40°C. under 75% relative humidity. In one embodiment, no more than 10percent of the total 3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin10,10-dioxide is in crystalline form. In one embodiment, the admixturecomprises up to 5%, 10%, 15%, 20%, 25%, 30%, 35% or 40%3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide.

In another aspect, a process for making a pharmaceutical product of3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide isprovided. In one embodiment, the process comprises the steps of i)dissolving about 2 parts by weight or less of3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide and about 3parts by weight of a stabilizer in an organic solvent, and (ii) removingthe organic solvent. In another embodiment, the process furthercomprises the steps of (iii) adding an aqueous liquid to the product ofstep i) and mixing the resultant suspension, and when the step of addingan aqueous liquid and mixing the resultant suspension is performed, theprocess includes the step of (iv) subsequently removing the aqueousliquid. In one embodiment, the3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide in step (i)is Form A.

In another aspect, a pharmaceutical product is provided that comprises amixture of substantially amorphous3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathin 10,10-dioxide as atherapecutically active ingredient and a stabilizer. In one embodiment,the amount of 3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathin10,10-dioxide by weight is about 40% or less relative to the amount ofweight of 3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathin 10,10-dioxideplus stabilizer. Embodiments of the pharmaceutical product of thepresent invention may be no more than 10%, 5%, 2%, 1% or 0.1% of the3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathin 10,10-dioxide crystalline.Embodiments of the pharmaceutical product of the present invention mayhave an area under the curve (AUC) of3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathin 10,10-dioxide of at leastabout 2-fold the AUC of a crystalline form of3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathin 10,10-dioxide asdetermined in a bioavailability assay. Embodiments of the crystallineform of 3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathin 10,10-dioxide mayexhibit a melting point at about 169-175° C., wherein the mixturecontains no more than about 2 parts by weight of3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathin 10,10-dioxide per about 3parts by weight of stabilizer. Embodiments of the pharmaceutical productof the present invention may comprise3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathin 10,10-dioxide as the soleactive ingredient. In other embodiments, the pharmaceutical product ofthe present invention comprises at least one therapeutically activeingredient. Embodiments of the pharmaceutical product of the presentinvention may comprise a core which comprises active ingredient oringredients and an enteric coating surrounding the core. Embodiments ofthe pharmaceutical products of the present invention achieve plasmalevels of phenoxathiin-based MAO-A inhibitor ranging from about 40 ng/mlto about 80 ng/ml.

In another aspect, a pharmaceutical product is provided that comprisesan admixture of 3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin10,10-dioxide as an active ingredient, a stabilizer, and at least oneexcipient, wherein the ratio of3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide to thetotal of the at least one excipient ranges from about 1:1 to about 1:4.

Embodiments of the pharmaceutical product of the present invention maycomprise a stabilizer that is a copolymer of vinylpyrrolidone and vinylacetate, poly(vinylpyrrolidone), hydroxypropyl methylcellulose acetatesuccinate, hydrogenated phosphatidylcholine, a copolymer of methacrylicacid and ethyl acrylate, or a mixture thereof.

In another aspect, a unit dosage of3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide is providedthat comprises the pharmaceutical products of the present in unitdosages of at least 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90,95, 100, 105, 110, 115, 120, 125, 130, 135, 140, 145, 150, 155, 160,165, 170, 175, 180, 185, 190, 195, or 200 mg of3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide. In oneembodiment, the unit dosage is formulated for oral delivery.

In another aspect, a solid-form unilamellar matrix is provided thatcomprises an admixture of fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin10,10-dioxide as an active ingredient and a stabilizer.

In another aspect, a method of inhibiting monoamine oxidase-A (MAO-A) ina mammal identified as being in need of inhibition of MAO-A is providedthat comprises the step of administering a therapeutically effectiveamount of a pharmaceutical product comprising an admixture of3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide and astabilizer, wherein the ratio of3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide tostabilizer ranges from about 2:3 to about 1:10.

In another aspect, a method of treating or preventing a psychiatricdisorder or psychiatric disease is provided that comprises the step ofadministering a therapeutically effective amount of a pharmaceuticalproduct comprising an admixture of3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide and astabilizer, wherein the ratio of3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide tostabilizer ranges from about 2:3 to about 1:10. In one embodiment, thepsychiatric disorder or psychiatric disease is major depressivedisorder, dysthymia, childhood depression, atypical depression, bipolardisorder, mania and hypomania, generalized anxiety disorder, socialanxiety disorder, obsessive compulsive disorder, panic disorder,post-traumatic stress disorder, premenstrual dysphoric disorder,attention deficit disorder, panic disorder, anergic depression, ortreatment-resistant depression.

The present invention includes combinations of aspects and embodimentsdescribed herein.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 depicts the amount of residual solvent over time upon drying of aformulation of CX-157/stabilizer.

FIGS. 2( a) and 2(b) depict schematic examples of oral formulationscontaining CX-157.

DETAILED DESCRIPTION

Provided herein are methods for reducing the excipient load ofpharmaceutical formulations containing3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide as theactive pharmaceutical ingredient, and compositions related thereto.Traditional formulation methods have been applied to3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide, but haveresulted in formulations with ratios of nearly 90:1 excipient to3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide. Theproduct of these traditional formulations requires tableting that wouldlead to either large unit dosages or a large number of unit dosagesrequired daily, or both. In view of these results, the pharmaceuticalcomposition and related methods provided herein were developed to reducethe excipient load of pharmaceutical formulations containing3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide in order toprovide unit dosage formulations of desired size and quantity for dailyadministration.

In one embodiment, the pharmaceutical products and methods providedherein allow the CX-157 to be stabilized as essentially an amorphous,i.e., non-crystalline, material, which can improve the bioavailabilityby oral route of administration without large amounts of excipients.Previously, it had been assumed that large quantities of excipients,and, thus, large dosage forms such as tablets, were necessary to achievethe desired bioavailability of the active ingredient.

CX-157

The active pharmaceutical ingredient of the formulation provided hereinis 3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide (alsoreferred to as CX-157 or, as used herein, the active agent), which hasthe structure:

CX-157 is a potent and specific monoamine oxidase A (MAO-A) inhibitorwhich is described in U.S. Pat. No. 6,110,961, U.S. Patent PublicationNo. 2008/0009542, U.S. Ser. Nos. 61/143,764, and 61/143,767, theentireties of which are incorporated herein by reference. CX-157 isreadily soluble in a variety of organic solvents but shows only sparingsolubility in water.

As described in more detail herein, in one embodiment the amorphousCX-157 is produced through the Form A polymorph, as described in U.S.Publication No. 2008/0009542, herein incorporated by reference in itsentirety. Without being bound by any theory, starting with the “highmelt” Form A is believed to enhance the final stability of the amorphousmaterial.

Stabilizer

Stabilizers provided herein are mixed with CX-157 to form apharmaceutical product that is suitable for further formulation methods(e.g., tableting). While not wishing to be limited to the followingexplanation, it is believed that the interaction between CX-157 and thestabilizer forms a stable solid, which, under standard long-term storageconditions remains morphologically unchanged such that the morphology ofthe CX-157 in the solid formulation is substantially not changed overtime. Typically the stabilizer is suitable for oral formulations.

Exemplary stabilizers used in accordance with the teachings hereininclude, but are not limited to, copovidone (copolymer ofvinylpyrrolidone and vinyl acetate), povidone (poly(vinylpyrrolidone)),HPMCAS-M (hydroxypropyl methylcellulose acetate succinate), hydrogenatedphosphatidylcholine (Phospholipon® 90H), and Eudragit® L100-55(copolymer of methacrylic acid and ethyl acrylate).

In some embodiments, the stabilizer is readily soluble in at least onesolvent in which CX-157 also is soluble. In the formulation methodsprovided herein, CX-157 and the stabilizer are both dissolved in asolvent, and the solvent is then removed (as described more fully below)to form the pharmaceutical product in which the CX-157 and stabilizerare admixed. Typically, the solubilities of stabilizer and CX-157 in theselected solvent are appropriate for formulation methods. For example,the stabilizer has a solubility of at least, at least about, more than,or more than about, 1 mg/mL, 50 mg/mL, 100 mg/mL, or 500 mg/mL at 60° C.in a solvent in which CX-157 has a solubility of at least 1 mg/mL at 60°C. Typically, the solvent is an organic solvent such as acetone,ethanol, methanol, methylene chloride, and mixtures thereof. In suchembodiments, the solubility of the stabilizer in organic solvent is atleast, at least about, more than, or more than about 1 mg/mL, 50 mg/mL,100 mg/mL, or 500 mg/mL at 60° C.

In some embodiments, the melting point of the stabilizer is sufficientlyhigher than typical ambient or room temperatures such that thestabilizer remains in solid form at typical ambient or roomtemperatures. As provided herein, in some embodiments thischaracteristic can permit the stabilizer to maintain the resultantpharmaceutical product in solid form upon admixture with CX-157. As aresult, both the pharmaceutical product itself and the CX-157 admixedtherein remain substantially morphologically unchanged, even afterlong-term storage. Typically, the melting point of the stabilizer is atleast, at least about, more than, or more than about, 30° C., 40° C.,50° C., 60° C., 70° C., 80° C., 90° C., 100° C., 110° C. 120° C., 130°C., 140° C., 150° C., 160° C., 170° C., or 180° C.

In some embodiments, the stabilizer has limited or no aqueoussolubility. In such embodiments, when the pharmaceutical product isstored, contact between the pharmaceutical product and water vapor doesnot result in dissolution of the stabilizer such that CX-157 is thensusceptible to morphological reorganization. In such embodiments, thesolubility of the stabilizer in water is no more than, no more thanabout, less than, or less than about, 500 mg/mL, 250 mg/mL, 125 mg/mL,75 mg/mL, 30 mg/mL, or 15 mg/mL, 10 mg/mL, 1 mg/mL, 0.5 mg/mL, or 0.1mg/mL at 60° C.

In other embodiments, the stabilizer is readily soluble under aqueousconditions. In such embodiments, when the pharmaceutical product isadministered, contact between CX-157/stabilizer formulation results inefficient dissolution of the stabilizer and CX-157 such that CX-157 ismore readily available in the gastrointestinal tract for absorption intothe bloodstream. In such embodiments, the solubility of the stabilizerin water is no more than, no more than about, less than, or less thanabout, 0.5 mg/mL, 1 mg/mL, 5 mg/mL, 10 mg/mL, 50 mg/mL, 100 mg/mL, 200mg/mL or 500 mg/mL at 60° C.

Other Compounds that can be Mixed in Formulation

Additional compounds can be combined with CX-157 and stabilizer in thepharmaceutical product provided that the formulation and storageproperties of the pharmaceutical product remain acceptable in accordancewith the guidance provided herein. Examples of suitable additionalcompounds include any pharmaceutically acceptable excipient such as, forexample, vegetable gums, waxes, hydroxypropylmethylcellulose,hydroxypropylcellulose and polyvinylpyrrolidone, carboxymethylcellulose,acacia, gelatin, acetyltriethyl citrate (ATEC), acetyltri-n-butylcitrate (ATBC), aspartame, lactose, alginates, calcium carbonate,carbopol, carrageenan, cellulose, cellulose acetate phthalate,croscarmellose sodium, crospovidone, dextrose, dibutyl sebacate,ethylcellulose, fructose, gellan gum, glyceryl behenate, guar gum,lactose, lauryl lactate, low-substituted hydroxypryopl cellulose(L-HPC), magnesium stearate, maltodextrin, maltose, mannitol,methylcellulose, microcrystalline cellulose (MCC), methacrylate, sodiumcarboxymethylcellulose, polyvinyl acetate phthalate (PVAP), povidone,shellac, sodium starch glycolate, sorbitol, starch, sucrose, triacetin,triethylcitrate, vegetable based fatty acid, xanthan gum, xylitol; andinert substances such as talc, for example, kaolin, and titaniumdioxide, lubricants such as magnesium stearate, finely divided silicondioxide, crospovidone, and non-reducing sugars. Typically any suchadditional compounds are suitable for oral formulations.

Method of Preparing Formulation

Provided herein are methods of producing a pharmaceutical productcomprising 3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide,by:

i) dissolving about 2 parts by weight or less of the3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide and 3 partsby weight of a stabilizer in an organic solvent; and

ii) removing the organic solvent.

In one embodiment, the process of producing a pharmaceutical productcomprising 3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxidefurther comprises the steps of:

iii) adding an aqueous liquid and mixing the resultant suspension; and

iv) when iii) is performed, subsequently removing the aqueous liquid.

Dissolution in Organic Solvent

The organic solvent used in step i) is any organic solvent or solventmixture which does not affect the chemical nature of CX-157 or thestabilizer, in which both CX-157 and the stabilizer are soluble atsufficient concentrations, and which is able to be removed readily,e.g., by evaporation. Typically, the boiling point of the solvent isbetween, or between about 20° C. and 180° C. Typically, the organicsolvent used has low toxicity such that it is an acceptable solvent forpharmaceutical formulations. Particular solvents are alcohols such asmethanol, ethanol, 2-methyl-1-propanol, 1-pentanol, 1-propanol,2-propanol, 1-butanol, 2-butanol, ketones such as acetone, methylethylketone, methylisobutyl ketone, methyltert-butyl ketone, and othersolvents such as acetic acid, anisole, butyl acetate, terr-butylmethylether, cumene, dimethylsufoxide, ethyl acetate, ethyl ether, ethylformate, formic acid, heptane, isobutyl acetate, ispropyl acetate,methyl acetate and combinations thereof.

The concentration of CX-157 dissolved in the organic solvent can be anyamount that provides the desired solid formulation results upon removingthe organic solvent from the CX-157/stabilizer solution. Typically, theconcentration of CX-157 in the organic solvent is from about 1 mg/mL toabout 100 mg/mL.

The concentration of stabilizer dissolved in the organic solvent can beany amount that provides the desired ratio of CX-157 to stabilizer whileproviding the desired results upon removing the organic solvent from theCX-157/stabilizer solution. Typically, the concentration of stabilizeris from about 1 mg/mL to about 100 mg/mL. One example of CX-157 andstabilizer concentrations is CX-157 at 25 mg/mL and stabilizer at 75mg/mL, where the stabilizer is copovidone, povidone or HPMCAS-M. Anotherexample of CX-157 and stabilizer concentrations is CX-157 at 35 mg/mLand stabilizer at 65 mg/mL, where the stabilizer is copovidone orpovidone. Another example of CX-157 and stabilizer concentrations isCX-157 at 40 mg/mL and stabilizer at 60 mg/mL, where the stabilizer iscopovidone.

The dissolving can be conducted at any temperature which does not affectthe chemical nature of CX-157 or the stabilizer. The dissolving can beconducted at temperatures above room temperature, such as at 50-70° C.or 55-60° C., optionally followed by cooling. Alternatively, thedissolving can be conducted at room temperature, such as 20-25° C.Dissolving also can be facilitated by any of a variety of mixing methodssuch as stirring, ultrasound, and use of a bead beater. Those skilled inthe art can readily determine a suitable dissolving process according tothe solvent to be used, chemical stability of CX-157 and the stabilizer,and desired time frame for conducting the dissolution step.

Removal of Organic Solvent

The organic solvent removal step ii) can be carried out by any of avariety of methods known in the art for solvent removal. For example,the organic solvent can be removed by rotary evaporation or by spraydrying. Optimal conditions for conducting the solvent removal canreadily be determined by those skilled in the art according to thesolvent used, stability of CX-157 and the stabilizer, and desired timeframe for conducting the dissolution step. For example, spray dryingmethods can be performed by spraying in a spray dryer under theconditions: drying air flow rate 70-100 kg/h, inlet temperature 85-125°C., outlet temperature 45-60° C., atomization pressure 0.5-1.5 bar. As amore specific example, spray drying methods can be performed by sprayingin a spray dryer under the conditions: drying air flow rate 75-90 kg/h,inlet temperature 90-120° C., outlet temperature 49-56° C., atomizationpressure 0.7-1.3 bar. For example, spray drying methods can be performedby spraying in a spray dryer under the conditions: drying air flow rate80 kg/h, inlet temperature 95° C., outlet temperature 52° C.,atomization pressure 1.0 bar.

The further steps for solid drying can be any traditional method knownin the art, such as vacuum oven drying. For example, vacuum oven dryingcan be conducted at 40° C. and about 12-14 mTorr. As will be appreciatedby those skilled in the art, the conditions for solvent removal can bemodified according to the solvent to be used, chemical stability ofCX-157 and the stabilizer, and desired time frame for conducting thesolvent removal step.

The resultant solid has substantially all of the organic solventremoved. For purposes herein, substantially all organic solvent removedrefers to the solid having no more than, no more than about, less than,or less than about, 10%, 9%, 8%, 7%, 6%, 5%, 4%, 3%, 2.5%, 2%, 1.5%, 1%,0.9%, 0.8%, 0.7%, 0.6%, 0.5%, 0.4%, 0.3%, 0.2%, 0.1%, or 0.01% organicsolvent.

Optional Aqueous Step

In some embodiments the solid can be further treated by contacting thesolid with an aqueous liquid. The aqueous liquid can serve to reduce andhomogenize the particle size of the solid formed in step ii), referencedherein. The aqueous liquid used in optional step iii) can be an aqueoussolution or water itself, particularly de-ionized water. The ratio ofthe amount of solid treated to the amount of aqueous liquid utilized istypically between 1:1000 to 1:1, 1:500 to 1:2, or 1:20 to 1:4 (w/v). Theaqueous liquid contacting step can be performed at any temperature whichdoes not adversely affect the chemical and morphological stability ofthe solid, and particularly the CX-157 within the solid. In particular,the aqueous liquid contacting step is performed under conditions inwhich the solid formed in step ii) does not dissolve or changemorphologically. For example, the aqueous liquid contacting step can beconducted at room temperature. The particle size reduction andhomogenization can be facilitated by any known method, including, forexample, using a beadbeater.

The resultant solid particles typically have a mean diameter of no morethan, no more than about, less than, or less than about, 1000 nm, 900nm, 800 nm, 700 nm, 600 nm, 500 nm, 400 nm, 350 nm, 300 nm, 275 nm, 250nm, 225 nm, 200 nm, 190 nm, 180 nm, 170 nm, 160 nm, 150 nm, 140 nm, 130nm, 120 nm, 110 nm, or 100 nm.

Aqueous Drying Step

In embodiments that include treatment of the solid by contacting thesolid with an aqueous liquid, the aqueous liquid can then besubsequently removed. Any of a variety of known methods for removingaqueous liquids can be used. For example, the aqueous liquid can beremoved by lyophilization.

The resultant solid has substantially all of the aqueous liquid removed.For purposes herein, substantially all aqueous liquid removed refers tothe solid having no more than, no more than about, less than, or lessthan about, 10%, 9%, 8%, 7%, 6%, 5%, 4%, 3%, 2.5%, 2%, 1.5%, 1%, 0.9%,0.8%, 0.7%, 0.6%, 0.5%, 0.4%, 0.3%, 0.2%, 0.1%, or 0.01% aqueous liquid.

Formulation Product

In a preferred embodiment, the pharmaceutical product contains CX-157and the stabilizer admixed throughout a solid-form unilamellar matrix.The amount of stabilizer present in the pharmaceutical product is at asufficiently low amount as to permit formation of single unit dosages ofa size and a number per daily administration that is acceptable in theart. Typically, the ratio of CX-157 to stabilizer ranges from or fromabout 1:0.5 to 1:10, 1:0.8 to 1:8, 1:1 to 1:5, 1:1.5 to 1:4, 1:2 to1:3.5, 1:2.5 to 1:3 or 2:3 to 1:10.

In one embodiment, the pharmaceutical product comprises CX-157, astabilizer, and at least one excipient, wherein the ratio of CX-157 tothe total of the at least one excipient ranges from about 1:1 to about1:4. In a preferred embodiment, the ratio of CX-157 to the total of theat least one excipient ranges from about 1:2 to about 1:3.

In one embodiment, the pharmaceutical product comprises a 175 mg unitdosage of CX-157. In such an embodiment, the ratio of CX-157 to aprimary excipient ranges from about 1:1 to about 7:5. In a preferredembodiment, the ratio of CX-157 to a primary excipient is about 7:6. Inone embodiment, the ratio of CX-157 to a secondary excipient ranges fromabout 1:1 to about 5:3. In a preferred embodiment, the ratio of CX-157to a secondary excipient is about 5:4.

In an alternative embodiment, the pharmaceutical product comprises a 125mg unit dosage of CX-157. In such an embodiment, the ratio of CX-157 toa primary excipient ranges from about 0.1:3 to about 2:3. In a preferredembodiment, the ratio of CX-157 to a primary excipient is about 1:3. Inone embodiment, the ratio of CX-157 to a secondary excipient ranges fromabout 0.5:1 to about 4.5:3. In a preferred embodiment, the ratio ofCX-157 to a secondary excipient is about 1:1.

In some embodiments, the weight percentage of CX-157 in the combinationof CX-157 and stabilizer is no more than or no more than about 40%, 35%,33%, 30%, 25%, 20%, 15% or 10% (e.g., no more than 40 parts by weightCX-157 per 100 parts of combined weight of CX-157 and stabilizer), where“about” in the present context provides for a variability of no morethan 1/10^(th) of the indicated value (e.g., 40%±4%). Typically thepharmaceutical product is formulated for oral delivery.

In some embodiments, the amount of stabilizer in the solid-formunilamellar matrix of the pharmaceutical product typically is at least,at least about, more than, or more than about 30%, 35%, 40%, 45%, 50%,55%, 60%, 65%, 70%, 75%, 80%, or 85%, or a range from, between, fromabout, or between about any of the aforementioned values. When two ormore stabilizers are used in the pharmaceutical product, theaforementioned amount of stabilizer refers to the combined amount of allstabilizers in the pharmaceutical product. In some embodiments, theamount of CX-157 in the solid-form unilamellar matrix of thepharmaceutical product typically is at least, at least about, more than,or more than about 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, or 50%,or a range from, between, from about, or between about any of theaforementioned values. In some embodiments, the amount of additionalcomponents in the solid-form unilamellar matrix of the pharmaceuticalproduct typically is less than, less than about, no more than, or nomore than about 1%, 2%, 3%, 4%, 5%, 7%, 10%, 15%, 20%, 25%, or 30%, or arange from, between, from about, or between about any of theaforementioned values. In some embodiments, the solid-form unilamellarmatrix of the pharmaceutical contains no additional components beyondCX-157 and the stabilizer.

In some embodiments, the pharmaceutical product efficiently dissolves inaqueous solutions comparable to a fluid found in the gastrointestinaltract. In particular, the pharmaceutical product dissolves more readilyunder such conditions compared to a selected crystalline form of CX-157.In such instances, the pharmaceutical product disperses more readilythan a selected crystalline form of CX-157, and the CX-157 of thepharmaceutical product is more readily available in the gastrointestinaltract for absorption into the bloodstream than when CX-157 is present inthe selected crystalline form of CX-157. In such embodiments, the areaunder the curve (AUC) for CX-157 in the pharmaceutical product is atleast, at least about, more than, or more than about 2-fold, 2.5-fold,3-fold, 3.5-fold, 4-fold, 4.5-fold, 5-fold, 5.5-fold, or 6-fold the AUCfor a selected crystalline form of CX-157. An example of a selectedcrystal form of CX-157 is crystalline CX-157 having a melting point atabout 169-175° C., as described in U.S. Ser. No. 11/773,892, which isherein incorporated by reference. The AUC measurement can be reported atany of a variety of time points such as, for example, 1 hour, 2 hours, 3hours, 4 hours, 5 hours, 6 hours, 8 hours, 10 hours, 12 hours, 15 hours,20 hours, 1 day, 2 days or 3 days. The conditions under which the AUCmeasurements can be performed can be any method established in the artas providing a reliable model for bioavailability of a pharmaceuticalproduct.

In some embodiments, the pharmaceutical product has limited or noaqueous solubility. As a result, when the pharmaceutical product isstored, contact between the pharmaceutical product and water does notresult in dissolution of the pharmaceutical product such that CX-157 isthen susceptible to morphological reorganization. In such embodiments,the solubility of the pharmaceutical product in water is no more than,no more than about, less than, or less than about, 500 mg/mL, 250 mg/mL,175 mg/mL, 125 mg/mL, 75 mg/mL, 30 mg/mL, or 15 mg/mL, 10 mg/mL, 1mg/mL, 0.5 mg/mL, or 0.1 mg/mL at 60° C.

In some embodiments, the melting point of the pharmaceutical product issufficiently higher than typical ambient or room temperatures that thepharmaceutical product remains in solid form at these temperatures. Thischaracteristic permits the pharmaceutical product to remain in solidform throughout its shelf storage. As a result, both the pharmaceuticalproduct itself and the CX-157 admixed therein remain substantiallymorphologically unchanged, even after long-term storage. In suchembodiments, the melting point of the pharmaceutical product is atleast, at least about, more than, or more than about, 30° C., 40° C.,50° C., 60° C., 70° C., 80° C., 90° C., 100° C., 110° C. 120° C., 130°C., 140° C., 150° C., 160° C., 170° C., or 180° C.

Use of the term substantially morphologically unchanged, as it appliesto the pharmaceutical product or CX-157 refers to the condition in whichthe morphological nature of the solid does not change above a toleratedamount over a given storage period. For example, the morphologicalnature of the solid does not change above a tolerated amount when storedat 25° C. for 1 month, 2 months, 3 months, 4 months, 5 months or 6months (i.e., 30-180 days). In another example, the morphological natureof the solid does not change above a tolerated amount when stored at 40°C. for about 1 month, 2 months, 3 months, 4 months, 5 months or 6 months(i.e., 30-180 days). The storage conditions under which the morphologyis substantially unchanged can include moisture in the ambientenvironment. For example, the storage conditions under which themorphology is substantially unchanged can have 90%, 80%, 75%, 70%, 60%,50%, 40%, 30%, 20%, 10%, or 0%, relative humidity.

The tolerated amount of morphological change of the pharmaceuticalproduct or CX-157 refers to the maximum amount of pharmaceutical productor CX-157 that can change morphology, such as, change from amorphous toany crystalline form, change from one crystalline form (includingco-crystalline form) to a different crystalline form (includingco-crystalline form), or change from solid to liquid or solute form. Thetolerated amount of morphological change of the pharmaceutical productor CX-157 is typically no more than, no more than about, less than, orless than about, 10%, 9%, 8%, 7%, 6%, 5%, 4%, 3%, 2.5%, 2%, 1.5%, 1%,0.9%, 0.8%, 0.7%, 0.6%, 0.5%, 0.4%, 0.3%, 0.2%, 0.1%, or 0.01%morphological change of the pharmaceutical product or CX-157.Morphological change can be measured by any of a variety of knownmethods, including, for example, differential scanning calorimetry andpowder x-ray diffraction.

In some embodiments, the CX-157 in the pharmaceutical product issubstantially non-crystalline. As provided herein, typicallypharmaceutical formulation methodologies avoid formation ofnon-crystalline or amorphous forms of an active pharmaceuticalingredient because such forms are considered unstable during storage. Incontrast to the general thinking in the art, this embodiment of thepharmaceutical product provided herein is able to maintain anon-crystalline form that is stable over time and is suitable forstorage. The phrase substantially non-crystalline CX-157 refers to thetotal amount of CX-157 in the pharmaceutical product being no more than,no more than about, less than, or less than about, 10%, 9%, 8%, 7%, 6%,5%, 4%, 3%, 2.5%, 2%, 1.5%, 1%, 0.9%, 0.8%, 0.7%, 0.6%, 0.5%, 0.4%,0.3%, 0.2%, 0.1%, or 0.01% crystalline. Crystal forms of CX-157 areknown in the art, as taught in U.S. Ser. No. 11/773,892, which isincorporated herein by reference. Crystallinity of CX-157 can bemeasured by any of a variety of known methods, including, for example,differential scanning calorimetry and powder x-ray diffraction.

In some embodiments, the amount of moisture uptake under any one or moreof the above-described storage conditions by the pharmaceutical productor a unit dosage form formulated therefrom is no more than, no more thanabout, less than, or less than about, 20%, 19%, 18%, 17%, 16%, 15%, 14%,13%, 12%, 11%, 10%, 9%, 8%, 7%, 6%, 5%, 4%, 3%, 2.5%, 2%, 1.5%, 1%,0.9%, 0.8%, 0.7%, 0.6%, 0.5%, 0.4%, 0.3%, 0.2%, or 0.1%.

In some embodiments, the pharmaceutical product contains substantiallyno liposomes in the solid-form unilamellar matrix containing thestabilizer and CX-157. Although some stabilizers known in the art can beused to prepare liposomes that contain active pharmaceuticalingredients, it is believed that at least some of the methods andstabilizers provided herein for forming the pharmaceutical product yieldcombinations of stabilizer and CX-157 which are not in liposome form.Liposomes are vesicular structures of aligned hydrophobic andhydrophilic groups of molecules, and can often have dynamic, liquid- orgel-like structures at room temperature. In contrast, the pharmaceuticalproducts provided herein have melting points well above room temperatureand remain morphologically stable under standard storage conditions,permitting the CX-157 contained therein to also maintain goodmorphological stability over time. The phrase substantially no liposomesin the solid-form unilamellar matrix refers to the pharmaceuticalproduct containing no more than, no more than about, less than, or lessthan about, 10%, 9%, 8%, 7%, 6%, 5%, 4%, 3%, 2.5%, 2%, 1.5%, 1%, 0.9%,0.8%, 0.7%, 0.6%, 0.5%, 0.4%, 0.3%, 0.2%, 0.1%, or 0.01% (w/w)liposomes. Any of the methods for identifying and characterizingliposomes known in the art can be used to assess the amount of liposomespresent in the pharmaceutical product.

Typically, the pharmaceutical product contains substantially no organicsolvent. For purposes herein, substantially no organic solvent refers tothe pharmaceutical product having no more than, no more than about, lessthan, or less than about, 10%, 9%, 8%, 7%, 6%, 5%, 4%, 3%, 2.5%, 2%,1.5%, 1%, 0.9%, 0.8%, 0.7%, 0.6%, 0.5%, 0.4%, 0.3%, 0.2%, 0.1%, or 0.01%organic solvent.

Typically, the pharmaceutical product contains substantially no aqueousliquid. For purposes herein, substantially no aqueous liquid refers tothe pharmaceutical product having no more than, no more than about, lessthan, or less than about, 10%, 9%, 8%, 7%, 6%, 5%, 4%, 3%, 2.5%, 2%,1.5%, 1%, 0.9%, 0.8%, 0.7%, 0.6%, 0.5%, 0.4%, 0.3%, 0.2%, 0.1%, or 0.01%aqueous liquid.

Dosage Form

The instant pharmaceutical products may be administered to the patientby any suitable means. Non-limiting examples of methods ofadministration include, among others, (a) administration though oralpathways, which administration includes administration in capsule,tablet, granule, spray, syrup, or other such forms; (b) administrationthrough non-oral pathways such as rectal, vaginal, intraurethral,intraocular, intranasal, or intraauricular, which administrationincludes administration as an aqueous suspension, an oily preparation oras a drip, spray, suppository, salve, or ointment; (c) administrationvia injection, subcutaneously, intraperitoneally, intravenously,intramuscularly, intradermally, intraorbitally, intracapsularly,intraspinally, or intrasternally, including infusion pump delivery; (d)administration locally such as by injection directly in the renal orcardiac area, e.g., by depot implantation; as well as (e) administrationtopically; as deemed appropriate by those of skill in the art forbringing the compound of the invention into contact with living tissue.

Also provided herein are unit dosages containing the pharmaceuticalproduct. In a preferred embodiment, a unit dosage provided herein is adiscrete vessel containing the pharmaceutical product, including, butnot limited to, a tablet, pill, dragee, capsule, caplet, gelcap, orsuppository, typically formulated for oral or other gastro-intestinaltract-mediated ingestion by a subject to be treated.

In some embodiments, the amount of CX-157 in a unit dosage is at least,at least about, more than, or more than about 5, 10, 15, 20, 25, 30, 35,40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120,125, 130, 135, 140, 145, 150, 155, 160, 165, 170, 175, 180, 185, 190,195, or 200 mg, or a range from, between, from about, or between aboutany of the aforementioned values. In some embodiments, the amount ofstabilizer or combination of stabilizers in a unit dosage is at least,at least about, more than, or more than about 5, 10, 15, 20, 25, 30, 35,40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120,125, 130, 135, 140, 145, 150, 155, 160, 165, 170, 175, 180, 185, 190,195, 200, 210, 220, 230, 240, 250, 260, 270, 280, 290, 300, 325, 350,375, 400, 450, 500, 550, 600, 650, 700, 750, 800, 850, 900, 950, or 1000mg, or a range from, between, from about, or between about any of theaforementioned values. Typically, the amount of CX-157 in a unit dosageis the amount required to constitute or constitute about 1/10^(th),1/9^(th), ⅛^(th), 1/7^(th), ⅙^(th), ⅕^(th), ¼^(th), ⅓^(rd), one half, ora full daily dose of CX-157, or a range from, between, from about, orbetween about any of the aforementioned values. That is, typically thenumber of unit dosages required for delivery of a daily dose to asubject is 10 or less, 5 or less, 4 or less, 3 or less (TID), 2 or less(BID), or one daily (QD).

The unit dosages can contain any of a variety of additional coatingsknown in the art, particularly oral formulation coatings. Suchadditional coatings include, but are not limited to, lubricant coating,enteric coating, sustained release coating, or controlled releasecoating. Examples of various coatings containing CX-157 are provided inU.S. application Ser. No. 10/20468 and U.S. application Ser. No.10/20459, the entireties of which are incorporated herein by reference.

The unit dosage is formed according to any of a variety of methods knownin the art, such as tableting methods. As provided herein, thepharmaceutical product shows good compressibility for core formation,thus facilitating tableting and other such methodologies. Typically, thepharmaceutical product is sieved, e.g., using a 120 mesh and thenfurther treated in tableting or other unit dosage formation methods.

Oral Dosage Formulations

Oral dosage formulations containing CX-157 can be configured to: controllocation in the digestive system of release and absorption of CX-157;control the rate of release of CX-157; or both control location in thedigestive system of release and absorption of CX-157 and control therate of release of CX-157. Such oral dosage formulations can contain acore that contains CX-157, and also at least one additional layer, suchas an enteric coating layer, a sustained release layer, or both.

In some embodiments, such presentations comprise one or more of: (a) atraditional core containing CX-157 and one or more pharmaceuticalexcipients; (b) a sustained release layer containing CX-157 and one ormore sustained release excipients; (c) a separating layer; (d) anenteric layer comprising hydroxypropylmethylcellulose acetate succinate(HPMCAS) and a pharmaceutically acceptable excipient; and (e) afinishing layer. In some embodiments, a sustained release layer ispresent. In some embodiments, an enteric layer is present. In someembodiments, both a sustained release layer and an enteric layer arepresent. In some such embodiments, the core comprises an inert bead onwhich the CX-157 is deposited as a layer comprising the one or morepharmaceutical excipients. In some embodiments, the product is a tabletor capsule or a core sheathed in an annular body. In some embodiments,such presentations contain about 50 to 500 milligrams of CX-157. Exampleembodiments are depicted in FIG. 2, where FIG. 2( a) depicts apreparation containing a traditional core 1 containing CX-157, and anenteric coat 2; and FIG. 2( b) depicts a preparation containing asustained release layer 3 containing CX-157, and an enteric coat 2.

As used herein, all expressions of percentage, ratio, and proportionwill be in weight units unless otherwise stated. Expressions ofproportions of the enteric product will refer to the product in driedform, after the removal of the water in which many of the ingredientsare dissolved or dispersed.

The term sugar refers to a sugar other than a reducing sugar. A reducingsugar is a carbohydrate that reduces Fehling's (or Benedict's) orTollens' reagent. All monosaccharides are reducing sugars as are mostdisaccharides with the exception of sucrose. One common binding orfilling agent is lactose which is particularly useful for tablets sincelactose compresses well and is a cost-efficient diluent and binder.Lactose, however, is a reducing sugar that potentially interacts withthe active ingredient at both at room temperature and under acceleratedstability conditions (heat). Therefore, avoidance of lactose and otherreducing sugars from formulations comprising the active ingredient maybe important. As discussed below, sucrose is a particularly preferredsugar.

The Core

A particular core for the pellet is typically prepared by applying alayer containing active ingredient (CX-157) to an inert core. Such inertcores are conventionally used in pharmaceutical science, and are readilyavailable. A particular core is one prepared from starch and sucrose,for use in confectionery as well as in pharmaceutical manufacturing.Cores of any pharmaceutically acceptable excipient, however, can beused, including, for example, microcrystalline cellulose (MCC),vegetable gums, or waxes. The primary characteristic of the inert coreis to be inert, with regard both to the active ingredient and the otherexcipients in the pellet and with regard to the subject who willultimately ingest the pellet.

The size of the cores depends on the desired size of the pellet to bemanufactured. In general, pellets can be as small as 0.1 mm, or as largeas 2 mm. Particular cores are from about 0.3 to about 0.8 mm, in orderto provide finished pellets in the size range of from about 0.5 to about1.5 mm in diameter. For instance, the cores can be of a reasonablynarrow particle size distribution, in order to improve the uniformity ofthe various coatings to be added and the homogeneity of the finalproduct. For example, the cores can be specified as being of particlesize ranges such as from 18 to 20 U.S. mesh, from 20 to 25 U.S. mesh,from 25 to 30 U.S. mesh, or from 30 to 35 U.S. mesh to obtain acceptablesize distributions of various absolute sizes.

The amount of cores to be used can vary according to the weights andthicknesses of the added layers. In general, the cores comprise fromabout 10 to about 70 percent of the product. More particularly, thecharge of cores represents from about 15 to about 45 percent of theproduct.

When manufacture of the pellet begins with inert cores, the activeingredient can be coated on the cores to yield a final drugconcentration of about 10 to about 25 percent of the product, ingeneral. The amount of active ingredient depends on the desired dose ofthe drug and the quantity of pellets to be administered. The activeingredient can be present in at least, or at least about, more than, ormore than about, 10 mg, 15 mg, 20 mg, 25 mg, 30 mg, 40 mg, 50 mg, 60 mg,70 mg, 80 mg, 90 mg, 100 mg, 125 mg, 150 mg, 175 mg, or 200 mg. Theactive ingredient can be present in up to, or up to about, less than, orless than about, 25 mg, 30 mg, 40 mg, 50 mg, 60 mg, 70 mg, 80 mg, 90 mg,100 mg, 125 mg, 150 mg, 175 mg, 200 mg, 250 mg, 300 mg, 350 mg, 400 mg,450 mg, 500 mg, 600 mg, 700 mg, 800 mg, 900 mg or 1000 mg. Particularranges include about 50 mg to about 500 mg, or from about 100 mg toabout 200 mg.

A convenient manner of coating the cores with active ingredient is the“powder coating” process where the cores are moistened with a stickyliquid or binder, active ingredient is added as a powder, and themixture is dried. Such a process is regularly carried out in thepractice of industrial pharmacy, and suitable equipment is known in theart.

Such equipment can be used in several steps of the present process. Thisprocess can be conducted in conventional coating pans similar to thoseemployed in sugar coating processes. This process can be used to preparepellets.

Alternately, the present product can be made in fluidized bed equipment(using a rotary processor), or in rotating plate equipment such as theFreund CF-Granulator (Vector Corporation, Marion, Iowa). The rotatingplate equipment typically consists of a cylinder, the bottom of which isa rotatable plate. Motion of the mass of particles to be coated isprovided by friction of the mass between the stationary wall of thecylinder and the rotating bottom. Warm air can be applied to dry themass, and liquids can be sprayed on the mass and balanced against thedrying rate as in the fluidized bed case.

In some embodiments, a powder coating is applied. In such embodiments,the mass of pellets can be maintained in a sticky state, and the powderto be adhered to them, active ingredient in this case, can be addedcontinuously or periodically and adhered to the sticky pellets. When allof such active has been applied, the spray can be stopped and the massallowed to dry in the air stream. It can be appropriate or convenient toadd some inert powders to the active ingredient.

Additional solids can be added to the layer with active ingredient.These solids can be added to facilitate the coating process as needed toaid flow, reduce static charge, aid bulk buildup and form a smoothsurface. Inert substances such as talc, kaolin, and titanium dioxide,lubricants such as magnesium stearate, finely divided silicon dioxide,crospovidone, and non-reducing sugars, e.g., sucrose, can be used. Theamounts of such substances are in the range from about a few tenths of1% of the product up to about 20% of the product. Such solids aretypically of fine particle size, e.g., less than 50 micrometers, toproduce a smooth surface.

The active ingredient can be made to adhere to the cores by spraying apharmaceutical excipient which is sticky and adherent when it is wet,and dries to a strong, coherent film. Those skilled in the art are awareof and conventionally use many such substances, most of them polymers.Particular such polymers include hydroxypropylmethylcellulose (i.e.,hypromellose), hydroxypropylcellulose and polyvinylpyrrolidone.Additional such substances include methylcellulose,carboxymethylcellulose, acacia and gelatin, for example. The amount ofthe adhering excipient can be in the range from about 4% to about 12% ofthe product, and depends, in large part, on the amount of active to beadhered to the core.

The active ingredient can also be built up on the cores by spraying aslurry comprising active suspended in a solution of the excipients ofthe active layer, dissolved or suspended in sufficient water to make theslurry sprayable. Such a slurry can be milled through a machine adaptedfor grinding suspension in order to reduce the particle size of active.Grinding in suspension form can be desirable because it avoids dustgeneration and containment problems which arise in grinding dry powderdrugs. A particular method for applying this suspension is thepharmaceutical fluidized bed coating device, such as the Wurster column,which consists of a vertical cylinder with an air-permeable bottom andan upward spraying nozzle close above the bottom, or a downward-sprayingnozzle mounted above the product mass. The cylinder is charged withparticles to be coated, a sufficient volume of air is drawn through thebottom of the cylinder to suspend the mass of particles, and the liquidto be applied is sprayed onto the mass. The temperature of thefluidizing air is balanced against the spray rate to maintain the massof pellets or tablets at the desired level of moisture and stickinesswhile the coating is built up.

On the other hand, the core can comprise a monolithic particle in whichthe active ingredient is incorporated. Such cores can be prepared by thegranulation techniques which are wide spread in pharmaceutical science,particularly in the preparation of granular material for compressedtablets. The cores can be prepared by mixing the active into a mass ofpharmaceutical excipients, moistening the mass with water or a solvent,drying, and breaking the mass into sized particles in the same sizerange as described above for the inert cores. This can be accomplishedvia the process of extrusion and marumerization.

The core for the pellet can also be prepared by mixing active withconventional pharmaceutical ingredients to obtain the desiredconcentration and forming the mixture into cores of the desired size byconventional procedures, including but not limited to the process of R.E. Sparks et al., U.S. Pat. Nos. 5,019,302 and 5,100,592, incorporatedby reference herein.

Sustained Release

In some embodiments, the product is formulated so as to achieve plasmalevels of CX-157 ranging from about 40 ng/ml to about 80 ng/ml. Alsoprovided are oral pharmaceutical dosage forms comprising CX-157 andadapted to retard release of CX-157 in the digestive tract.

Sustained-release pharmaceutical formulations can be configured in avariety of dosage forms such as, for example tablets and beads. Suchdosage forms can contain a variety of fillers and excipients, such asretardant excipients (also referred to a release modifiers) and can bemade in a variety of ways. Those skilled in the art can determine theappropriate configuration by routine experimentation guided by thedescriptions provided herein.

Sustained-release pharmaceutical formulations can contain fillers.Examples of suitable fillers include, but are not limited to,methylcellulose, including that sold under the tradename METHOCEL®,hydroxypropyl methylcellulose (HPMC), hydroxypropylcellulose (HPC), cornstarch, polyvinyl alcohol (PVA), polyvinylpyrrolidone (PVP), orcross-linked PVP.

Sustained-release pharmaceutical formulations can contain excipients.Examples of suitable excipients include, but are not limited to,acetyltriethyl citrate (ATEC), acetyltri-n-butyl citrate (ATBC),aspartame, lactose, alginates, calcium carbonate, carbopol, carrageenan,cellulose, cellulose acetate phthalate, croscarmellose sodium,crospovidone, dextrose, dibutyl sebacate, ethylcellulose, fructose,gellan gum, glyceryl behenate, guar gum, lactose, lauryl lactate,low-substituted hydroxypryopl cellulose (L-HPC), magnesium stearate,maltodextrin, maltose, mannitol, methylcellulose, microcrystallinecellulose (MCC), methacrylate, sodium carboxymethylcellulose, polyvinylacetate phthalate (PVAP), povidone, shellac, sodium starch glycolate,sorbitol, starch, sucrose, triacetin, triethylcitrate, vegetable basedfatty acid, xanthan gum, or xylitol.

The active ingredient can be present in at least, or at least about,more than, or more than about, 10 mg, 15 mg, 20 mg, 25 mg, 30 mg, 40 mg,50 mg, 60 mg, 70 mg, 80 mg, 90 mg, 100 mg, 125 mg, 150 mg, 175 mg, or200 mg. The active ingredient can be present in up to, or up to about,less than, or less than about, 25 mg, 30 mg, 40 mg, 50 mg, 60 mg, 70 mg,80 mg, 90 mg, 100 mg, 125 mg, 150 mg, 175 mg, 200 mg, 250 mg, 300 mg,350 mg, 400 mg, 450 mg, 500 mg, 600 mg, 700 mg, 800 mg, 900 mg or 1000mg. Particular ranges include about 50 mg to about 500 mg, or from about100 mg to about 200 mg.

In preferred embodiments, the sustained-release pharmaceuticalformulation comprises an active ingredient, methylcellulose andmicrocrystalline cellulose (MCC). In some embodiments, the formulationcomprises, for example, from about 30%, 40%, or 50%, to about 80% or 90%active ingredient by weight. In some embodiments, the formulationcomprises about 0.1%, 0.5%, 1%, 3%, 5%, 10% or 20% active ingredient byweight. Preferably, the active ingredient is present at a percentage ofabout 55%, 60%, 65%, or 70% by weight. In other preferred embodiments,the formulation comprises about 95% active ingredient.

The balance of ingredients in the sustained-release active ingredientpharmaceutical formulation can be chosen, for example, from modifiedpolysaccharides such as, for example, methylcellulose (MC) andmicrocrystalline cellulose (MCC). In some embodiments, the formulationcomprises between about 3% to about 99.9% microcrystalline cellulose byweight. In certain embodiments, the formulation comprises about 3% MCC.In other embodiments, the formulation comprises about 5% MCC. In furtherembodiments, the formulation comprises about 10% MCC. In yet otherembodiments, the formulation comprises about 30% MCC. In furtherembodiments, the formulation comprises about 50% MCC.

In some embodiments, the sustained-release pharmaceutical formulationcomprises about 0% to about 40% MC. In certain embodiments, theformulation comprises about 3% MC. In other embodiments, the formulationcomprises about 5% MC. In further embodiments, the formulation comprisesabout 10% MC. In yet other embodiments, the formulation comprises about30% MC. In further embodiments, the formulation comprises about 40% MC.In some embodiments, the formulation comprises about 95% activeingredient and the remaining 5% is divided between MC and MCC.

The dissolution rate of the sustained-release pharmaceutical formulationdetermines how quickly active ingredient becomes available forabsorption into the blood stream and therefore controls thebioavailability of active ingredient. Dissolution rate is dependent onthe size and the composition of the dosage form. In some embodiments,the dissolution rate of the formulation can be by changed by alteringthe additional components of the formulation. Disintegrants, such asstarch or corn starch, or crosslinked PVPs, can be used to increasesolubility when desired. Solubilizers can also be used to increase thesolubility of the formulations. In some embodiments, alternativebinders, such as, for example, hydroxypropylmethyl cellulose (HPMC),hydroxypropyl cellulose (HPC), methyl cellulose (MC), PVP, gums, orxanthine can be used to increase the dissolution rate.

In some embodiments, the dissolution rate of the formulation can bedecreased by adding components that make the formulation morehydrophobic. For example, addition of polymers such as ethylcelluloses,wax, or magnesium stearate decreases the dissolution rate.

In some embodiments, the dissolution rate of the sustained-releasepharmaceutical formulation is formulated so as to control the plasmalevels of active ingredient. For example, the sustained-releasepharmaceutical formulation can be formulated so as to achieve plasmalevels of active ingredient that are, for example, at least, or at leastabout, more than, or more than about, 5 ng/ml, 10 ng/ml, 15 ng/ml, 20ng/ml, 25 ng/ml, 30 ng/ml, 40 ng/ml, 50 ng/ml, 60 ng/ml, 70 ng/ml, 80ng/ml, 90 ng/ml, or 100 ng/ml. The sustained-release pharmaceuticalformulation can be formulated so as to achieve plasma levels of activeingredient that are, for example, up to, or up to about, less than, orless than about, 25 ng/ml, 30 ng/ml, 40 ng/ml, 50 ng/ml, 60 ng/ml, 70ng/ml, 80 ng/ml, 90 ng/ml, 100 ng/ml, 125 ng/ml, 150 ng/ml, 175 ng/ml,200 ng/ml, 250 ng/ml, 300 ng/ml, 350 ng/ml, 400 ng/ml, 450 ng/ml, or 500ng/ml. Particular ranges are from about 10 ng/ml to about 150 ng/ml,from about 20 ng/ml to about 100 ng/ml, or from about 40 ng/ml to about80 ng/ml. In one embodiment, such ranges can be favorable for achievingtherapeutic levels of active ingredient without causing sufficientinhibition of MAO inhibition in the digestive tract and liver so as tocause the so-called “cheese effect.”

In some embodiments, the dissolution rate of the sustained-releasepharmaceutical formulation is such that about 25% of the activeingredient in the dosage form is dissolved within the first hour, about60% of the active ingredient is dissolved within the first 6 hours,about 80% of the active ingredient is dissolved within the first 9hours, and substantially all of the active ingredient is dissolvedwithin the first 12 hours. In other embodiments, the dissolution rate ofthe sustained-release pharmaceutical formulation is such that about 35%of the active ingredient in the dosage form is dissolved within thefirst hour, about 85% of the active ingredient is dissolved within thefirst 6 hours, and substantially all of the active ingredient isdissolved within the first 9 hours. In yet other embodiments, thedissolution rate of the sustained-release pharmaceutical formulation inthe dosage form is such that about 45% of the active ingredient isdissolved within the first hour, and substantially all of the activeingredient is dissolved within the first 6 hours.

The dissolution rate of the formulation can also be slowed by coatingthe dosage form. Examples of coatings include sustained-releasepolymers.

The sustained-release pharmaceutical formulation can take about, forexample, from 2, 4, 6, or 8 hours to about 15, 20, or 25 hours todissolve. Preferably, the formulation has a dissolution rate of fromabout 3, 4, 5, or 6 to about 8, 9, or 10 hours.

Another embodiment provides a method of preparing sustained-releasepharmaceutical formulation. The method comprises mixing activeingredient with an excipient or filler or a combination thereof to forma mixture, and forming a suitable dosage form (e.g., tablet, bead, etc.)from the mixture. In some embodiments, the method of preparing theformulation further comprises adding another excipient or filler or acombination thereof to the mixture prior to forming the dosage form. Thefiller and excipient are as described herein. In an embodiment, theactive ingredient is mixed with the excipient or filler or a combinationthereof to form a wet mixture. The wet mixture can then be formed intoparticles or beads, which can then be dried. The dried product can thenbe tableted or placed into a gelatin capsule for oral delivery.

In an embodiment, the sustained-release pharmaceutical formulation is inthe form of beads. In some embodiments, the beads comprise activeingredient and a filler. In other embodiments, the beads furthercomprise an excipient. In some embodiments, the excipient or filler or acombination thereof are in polymeric form.

As used herein, “beads” can be, for example, spheres, pellets,microspheres, particles, microparticles, or granules. The beads can haveany desired shape. The shape can be, for example, spherical,substantially spherical, rod-like, cylindrical, oval, elliptical, orgranular. The size and shape of the bead can be modified, if desired, toalter dissolution rates. The beads can be coated or can be uncoated. Thebeads can be formed into a capsule for oral delivery, a tablet, or anyother desired solid oral dosage form, with or without other ingredients.

In an embodiment, a pharmaceutical formulation comprises a bead thatcomprises sustained-release active ingredient and a filler. In someembodiments, the bead further comprises an excipient. In someembodiments, the filler is a polymer. In some embodiments the excipientis a polymer. In some embodiments, the filler is selected from the groupconsisting of methylcellulose, hydroxypropyl methylcellulose (HPMC),hydroxypropylcellulose (HPC), corn starch, polyvinyl alcohol (PVA),polyvinylpyrrolidone (PVP), and cross-linked PVP. In some embodiments,the excipient is selected from the group consisting of acetyltriethylcitrate (ATEC), acetyltri-n-butyl citrate (ATBC), aspartame, lactose,alginates, calcium carbonate, carbopol, carrageenan, cellulose,cellulose acetate phthalate, croscarmellose sodium, crospovidone,dextrose, dibutyl sebacate, ethylcellulose, fructose, gellan gum,glyceryl behenate, guar gum, lactose, lauryl lactate, low-substitutedhydroxypropyl cellulose (L-HPC), magnesium stearate, maltodextrin,maltose, mannitol, methylcellulose, microcrystalline cellulose (MCC),methacrylate, sodium carboxymethylcellulose, polyvinyl acetatephathalate (PVAP), povidone, shellac, sodium starch glycolate, sorbitol,starch, sucrose, triacetin, triethylcitrate, vegetable based fatty acid,xanthan gum, and xylitol. In some embodiments the bead comprises activeingredient, methylcellulose and microcrystalline cellulose. In someembodiments, the bead comprises from about 0.1% to about 95% activeingredient by weight. In some embodiments, the bead comprises betweenabout 3% to about 99.9% microcrystalline cellulose by weight. In someembodiments, the bead comprises about 0% to about 40% methylcellulose byweight.

Separating Layer

The separating layer between the active-containing core and the entericlayer is not required, but is a particular feature of the formulation.The functions of the separating layer, if desired, are to provide asmooth base for the application of the enteric layer, to prolong theresistance of the pellet to acid conditions, and/or to improve stabilityby inhibiting any interaction between the drug and the enteric polymerin the enteric layer.

The smoothing function of the separating layer is purely mechanical, theobjective of which is to improve the coverage of the enteric layer andto avoid thin spots in the enteric layer, caused by bumps andirregularities on the core. Accordingly, the more smooth and free ofirregularities the core can be made, the less material is needed in theseparating layer, and the need for the smoothing characteristic of theseparating layer can be avoided entirely when the active is of extremelyfine particle size and the core is made as close as possible to trulyspherical.

When a pharmaceutically acceptable non-reducing sugar is added to theseparating layer, the pellet's resistance to acid conditions can bemarkedly increased. Accordingly, such a sugar can be included in theseparating layer applied to the cores, either as a powdered mixture, ordissolved as part of the sprayed-on liquid. A sugar-containingseparating layer can reduce the quantity of enteric polymer required toobtain a given level of acid resistance. Use of less enteric polymer canreduce both the materials cost and processing time, and also can reducethe amount of polymer available to react with active. The inhibition ofany core/enteric layer interaction is mechanical. The separating layerphysically keeps the components in the core and enteric layers fromcoming into direct contact with each other. In some cases, theseparating layer can also act as a diffusional barrier to migrating coreor enteric layer components dissolved in product moisture. Theseparating layer can also be used as a light barrier by opacifying itwith agents such as titanium dioxide or iron oxides.

In general, the separating layer can include coherent or polymericmaterials, and finely powdered solid excipients which constitutefillers. When a sugar is used in the separating layer, the sugar isapplied in the form of an aqueous solution and constitutes part of orthe whole of the coherent material which sticks the separating layertogether. In addition to or instead of the sugar, a polymeric materialcan also be used in the separating layer. For example, substances suchas hydroxypropylmethylcellulose, polyvinylpyrrolidone, orhydroxypropylcellulose can be used in small amounts to increase theadherence and coherence of the separating layer.

A filler excipient also can be used in the separating layer to increasethe smoothness and solidity of the layer. Substances such as finelypowered talc or silicon dioxide are universally accepted aspharmaceutical excipients and can be added as is convenient in thecircumstances to fill and smooth the separating layer.

In general, the amount of sugar in the separating layer can be in therange of from about 2% to about 10% of the product, when a sugar is usedat all, and the amount of polymeric or other sticky material can be inthe range of from about 0.1 to about 5%. The amount of filler, such astalc, can be in the range of from about 5 to about 15%, based on finalproduct weight.

The separating layer can be applied by spraying aqueous solutions of thesugar or polymeric material, and dusting in the filler as has beendescribed in the preparation of an active layer. The smoothness andhomogeneity of the separating layer can be improved, however, if thefiller is thoroughly dispersed as a suspension in the solution of sugarand or polymeric material, and the suspension is sprayed on the core anddried, using equipment as described above in the preparation of coreswith active layers.

Enteric Layer

In some embodiments, the presentation comprises an enteric coating.Enteric pharmaceutical presentations of CX-157 can serve to protect theMAO receptors from binding to CX-157 in the stomach to thereby limitdangerous food reactions or decrease the requirement for strict dietaryrestrictions by virtue of reducing release of the active ingredient andthereby reducing the degree to which CX-157 blocks MAO receptors frombinding dietary tyramine. In some embodiments, such presentationscomprise CX-157 and are adapted to retard or inhibit the release ofCX-157 in the stomach.

The enteric layer is comprised of an enteric polymer, which can bechosen for compatibility with the active ingredient. The polymer can beone having only a small number of carboxylic acid groups per unit weightor repeating unit of the polymer. A particular enteric polymer ishydroxypropylmethylcellulose acetate succinate (HPMCAS), which productis defined as containing not less than 4% and not more than 28% ofsuccinoyl groups, which are the only free carboxylic groups in thecompound. See Japanese Standards of Pharmaceutical Ingredients 1991,page 1216-21, Standard No. 19026. HPMCAS is available from Shin-EtsuChemical Co., Ltd., Tokyo, Japan, under the trademark AQOAT. It isavailable in two particle size grades and three molecular weight ranges.For example, the L grade, having number average molecular weight of93,000 can be used.

Enteric polymers can be applied as coatings from aqueous suspensions,from solutions in aqueous or organic solvents, or as a powder. Oneskilled in the art will be able to select from known solvents or methodsor a combination thereof, as desired.

The enteric polymer can also be applied according to a method describedby Shin-Etsu Chemical Co. Ltd. (Obara, et al., Poster PT6115, AAPSAnnual Meeting, Seattle, Wash., Oct. 27-31, 1996). In this method, whenthe enteric polymer is applied as a powder the enteric polymer is addeddirectly in the solid state to the tablets or pellets while plasticizeris sprayed onto the tablets or pellets simultaneously. The deposit ofsolid enteric particles is then turned into a film by curing. The curingis done by spraying the coated tablets or pellets with a small amount ofwater and then heating the tablets or pellets for a short time. Thismethod of enteric coating application can be performed employing thesame type of equipment as described above in the preparation of coreswith active ingredient layers.

When the enteric polymer is applied as an aqueous suspension, a problemin obtaining a uniform, coherent film often results. In instances inwhich this problem may arise, a fine particle grade can be used or theparticles of polymer can be ground to an extremely small size beforeapplication. It is possible either to grind the dry polymer, as in anair-impaction mill or to prepare the suspension and grind the polymer inslurry form. Slurry grinding is generally preferable, particularly sinceit can be used also to grind the filler portion of the enteric layer inthe same step. In some embodiments, it is advisable to reduce theaverage particle size of the enteric polymer to the range from about 1micrometer to about 5 micrometers, particularly no larger than 3micrometers.

When the enteric polymer is applied in the form of a suspension, thesuspension is typically maintained homogeneous. Such precautions includemaintaining the suspension in a gently stirred condition, but notstirring so vigorously as to create foam, and assuring that thesuspension does not stand still in eddies in nozzle bodies, for example,or in over-large delivery tubing. Frequently, polymers in suspensionform will agglomerate if the suspension becomes too warm, and thecritical temperature can be as low as 30° C. in individual cases. Sincespray nozzles and tubing are exposed to hot air in the usual fluid bedtype equipment, care must be taken to assure that the suspension is keptmoving briskly through the equipment to cool the tubing and nozzle. WhenHPMCAS is used, in particular, it is advisable to cool the suspensionbelow 20° C. before application, to cool the tubing and nozzle bypumping a little cold water through the tubing and nozzle beforebeginning to pump the suspension, and to use supply tubing with as smalla diameter as the spray rate will allow so that the suspension can bekept moving rapidly in the tubing.

In one embodiment, one can apply the enteric polymer as an aqueoussolution whenever it is possible to do so. In the case of HPMCAS,dissolution of the polymer can be obtained by neutralizing the polymer,particularly with ammonia. Neutralization of the polymer can be obtainedmerely by adding ammonia, preferably in the form of aqueous ammoniumhydroxide to a suspension of the polymer in water; completeneutralization results in complete dissolution of the polymer at aboutpH 5.7-5.9. Good results are also obtained when the polymer is partiallyneutralized by adding less than the equivalent amount of ammonia. Insuch case, the polymer which has not been neutralized remains insuspended form, suspended in a solution of neutralized polymer. Theparticle size of the polymer can be controlled when such a process is tobe used. Use of neutralized polymer more readily provides a smooth,coherent enteric layer than when a suspended polymer is used, and use ofpartially neutralized polymer provides intermediate degrees ofsmoothness and coherency. Particularly when the enteric layer is appliedover a very smooth separating layer, excellent results can be obtainedfrom partially neutralized enteric polymer.

The extent of neutralization can be varied over a range withoutadversely affecting results or ease of operation. For example, theextent of neutralization can range from about 25% to about 100%neutralization. Another particular condition is from about 45% to about100% neutralization, and another condition is from about 65% to about100%. Still another particular manner of neutralization is from about25% to about 65% neutralized. It may be found, however, that the entericpolymer in the resulting product, after drying, is neutralized to alesser extent than when applied. When neutralized or partiallyneutralized HPMCAS is applied, the HPMCAS in the final product can befrom about 0% to about 25% neutralized, more particularly from about 0%to about 15% neutralized.

A plasticizer can be used with enteric polymers for improved results. Inthe case of HPMCAS, a particular plasticizer can be triethyl citrate,used in an amount up to about 15%-30% of the amount of enteric polymerin aqueous suspension application. When a neutralized HPMCAS isemployed, either lower levels or no plasticizer can be required. Minoringredients, such as antifoam, suspending agents when the polymer is insuspended form, and surfactants to assist in smoothing the film, arealso commonly used. For example, silicone anti-foams, surfactants suchas polysorbate 80, sodium lauryl sulfate and suspending agents such ascarboxymethylcellulose and vegetable gums, can commonly be used atamounts in the general range up to 1% of the product.

Usually, an enteric layer is filled with a powdered excipient such astalc, glyceryl monostearate or hydrated silicon dioxide to build up thethickness of the layer, to strengthen it, to reduce static charge, andto reduce particle cohesion. Amounts of such solids in the range of fromabout 1% to about 10% of the final product can be added to the entericpolymer mixture, while the amount of enteric polymer itself can be inthe range from about 5% to about 25%, more particularly, from about 10%to about 20%.

Application of the enteric layer to the pellets follows the same generalprocedure previously discussed, using fluid bed type equipment withsimultaneous spraying of enteric polymer solution or suspension and warmair drying. Temperature of the drying air and the temperature of thecirculating mass of pellets are typically kept in the ranges advised bythe manufacturer of the enteric polymer.

Provided herein are formulations engineered to initiate drug release inthe middle to lower portions of the small intestine, with a delayedrelease time of greater than, for example, approximately 1 hour, 1.25hours, 1.5 hours, 1.75 hours or 2 hours after dosing. Suchpharmaceutical formulations are manufactured in such a way that theproduct passes unchanged through the stomach of the patient, anddissolves and releases the active ingredient when it leaves the stomachand enters the middle and lower portions of the small intestine. Suchformulations can be in tablet or pellet form, where the activeingredient is in the inner part of the tablet or pellet and is enclosedin a film or envelope (i.e., the “enteric coating”). The enteric coatingis insoluble in acid environments, such as the stomach, but is solublein near-neutral environments such as the small intestine. The instantenteric coating-containing formulations avoid much of the drugcompetition with dietary tyramine for MAO-A since dietary tyramine israpidly absorbed and metabolized in the stomach and upper portion of thesmall intestine and the liver with an average Tmax of 1.25 hours. Inthis regard, human plasma pharmacokinetic data of tyramine, administeredwith food in a capsule, in an oral dose of 200 mg demonstrated a rapidabsorption of tyramine with a Tmax achieved within 1.25 hours andnon-detectable levels observed 3-4 hrs after dosing.

Finishing Layer

A finishing layer over the enteric layer is not necessary in every case,but can improve the elegance of the product and its handling, storageand machinability and can provide further benefits as well. The simplestfinishing layer is simply a small amount, about less than 1% of ananti-static ingredient such as talc or silicon dioxide, simply dusted onthe surface of the pellets. Another simple finishing layer is a smallamount, about 1%, of a wax such as beeswax melted onto the circulatingmass of pellets to further smooth the pellets, reduce static charge,prevent any tendency for pellets to stick together, and increase thehydrophobicity of the surface.

More complex finishing layers can constitute a final sprayed-on layer ofingredients. For example, a thin layer of polymeric material such ashydroxypropylmethylcellulose or polyvinylpyrrolidone, in an amount suchas from about 2% up to about 10%, can be applied. The polymeric materialcan also carry a suspension of an opacifier, a bulking agent such astalc, or a coloring material, particularly an opaque finely dividedcolor agent such as red or yellow iron oxide. Such a layer quicklydissolves away in the stomach, leaving the enteric layer to protect theactive ingredient, but provides an added measure of pharmaceuticalelegance and protection from mechanical damage to the product.

Finishing layers to be applied to the present product are of essentiallythe same types commonly used in pharmaceutical science to smooth, sealand color enteric products, and can be formulated and applied in theusual manners.

Methods of Use

The pharmaceutical products provided herein can be used in methods oftreating medical, psychiatric or neurological conditions or disorders.In one embodiment, the methods include administering a MAO-A-inhibitingeffective amount or therapeutically effective amount of a pharmaceuticalproduct comprising 3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin10,10-dioxide as an active ingredient and a stabilizer admixedthroughout a solid-form unilamellar matrix to a mammal, particularly ahuman, in need for the treatment of medical, psychiatric or neurologicalconditions and disorders. In one embodiment, the ratio of3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide tostabilizer ranges is from about 2:3 to about 1:10. As used herein, thetherapeutically effective amount is an amount effective to achieve theintended purpose. The therapeutically effective amount can depend on theroute of administration, the type of animal, including human, beingtreated, and the physical characteristics of the specific animal underconsideration. The dose can be tailored to achieve a desired effect, butwill depend on such factors as weight, diet, concurrent medication andother factors which those skilled in the medical arts will recognize.

In one embodiment, the pharmaceutical products provided herein can beused to treat medical, psychiatric or neurological conditions anddisorders including, but are not limited to, depressive disorders (majordepressive disorder, dysthymia, childhood depression, atypicaldepression, bipolar disorder, mania and hypomania), anxiety disorders(generalized anxiety disorder, social anxiety disorder, phobias,obsessive compulsive disorder, panic disorder, post-traumatic stressdisorder), premenstrual dysphoric disorder (also known as pre-menstrualsyndrome), attention deficit disorder (with and without hyperactivity),Intermittent Explosive Disorder, Alzheimer's disease, Parkinson'sdisease, hyperactivity, conduct disorder, narcolepsy, obesity, eatingdisorders such as anorexia nervosa and bulimia nervosa, drug withdrawalsyndromes and drug dependence disorders, including dependence fromalcohol, opioids, amphetamines, cocaine, tobacco, and cannabis(marijuana), melancholia, panic disorder, anergic depression,treatment-resistant depression, headache, acute and chronic painsyndromes, as exemplified by fibromyalgia, chronic low back pain,trigeminal neuralgia, visceral pain syndromes, such as irritable bowelsyndrome, noncardiac chest pain, functional dyspepsia, interstitialcystitis, essential vulvodynia, urethral syndrome, orchialgia,temperomandibular disorder, atypical face pain, migraine headache, andtension headache; functional somatic disorders, for example, chronicfatigue syndrome, and other conditions in which alteration of MAO-Aactivity could be of therapeutic value.

The following examples are included for illustrative purposes only andare not intended to limit the scope of the invention.

EXAMPLES Example 1 Solvent Selection for Formulation of CX-157

The criteria for solvents for use in preparing a CX-157 formulationinclude high solubility for CX-157, low boiling point and high vaporpressure for easy removal by vacuum, and safety (class 3 or 2 in FDA Q3Cguidance).

Procedure

Ethanol, acetone and methylene chloride were selected and tested ascandidate solvents. CX-157 solubility in the solvent was performed usinga test tube method. A specific amount of CX-157 (Form A: disclosed inU.S. Pat. Pub. No. 2008/0009542 herein incorporated by reference in itentirety) was added into 1 mL test solvent and the sample was agitatedvigorously by a Beadbeater (BB). If CX-157 was completely soluble in 1mL of test solvent, additional CX-157 was added until excess solid waspresent. The solubility (mg/mL) of CX-157 was calculated by the amount(mass) of CX-157 added to the test solvent (1 mL). The solubility ofCX-157 in ethanol, acetone and methylene chloride is shown in Table 1.Acetone had the highest solubility of the solvents tested with asolubility of from about 60 mg/mL to about 80 mg/mL at room temperature.

TABLE 1 Solvent Solubility (mg/mL) Ethanol Less than 10 mg/mL at 60° C.Acetone 60~80 mg/mL at room temperature Methylene chloride Less than 20mg/mL at room temperature

Example 2

Thermal Stability Analysis of Formulation of CX-157 with PrimaryStabilizer

A CX-157-Primary Stabilizer complex was prepared by dissolving CX-157(crystal Form A: disclosed in U.S. Pat. Pub. No. 2008/0009542 hereinincorporated by reference in it entirety) and Phospholipon® 90H (PL90H;Phosphatidylcholine, hydrogenated) in acetone, then removing the solventby Speedvac to obtain a solid complex. For comparative purposes, aphysical mixture was prepared by mixing solid CX-157 (Form A) withPhospholipon® 90H. The CX-157 and Phospholipon® 90H were combined in avariety of wt/wt ratios: CX-157/PL90H solid complex (1:1 by wt),CX-157/PL90H solid complex (1:3 by wt), CX-157/PL90H physical mixture(1:1 by wt).

The CX-157 (Form A) exhibited an endothermic “melting” peak at 170.4° C.and heat of fusion of about 107 microvolt-seconds/milligrams (μV-s/mg).The CX-157/PL90H physical mixture showed the same CX-157 (Form A),endothermic melting peak and a heat of fusion similar to CX-157 (FormA). Compared to CX-157 (Form A), the CX-157/PL90H solid complex (1:1 and1:3 ratios) had an endothermic peak at about 159° C. with asignificantly reduced heat of fusion, as shown in Table 2. In contrastto CX-157 crystal Form A and the physical mixture of CX-157/PL90H (1:1by wt), the CX-157/PL90H solid complex (1:1 by wt) had a heat of fusionof 38.7 μV-s/mg. Additionally, the CX-157/PL90H solid complex (1:3 bywt) had a heat of fusion of 10.2 μV-s/mg. These differences can beattributed to a disappearance of the original CX-157 crystal Form A withan overall reduction of crystallinity in the solid complex.

TABLE 2 CX-157/PL90H wt ratio 1:0 (100% CX-157) 1:1 1:3 PL90H 107 38.710.2 Heat of Fusion (μV-s/mg).

Example 3 Analysis of Melting Point and Heat of Fusion of CX-157: PL90HComplexes in Varying Ratios

The CX-157:PL90H complex of varying ratios were formed by preparing a 50mg/mL CX-157 stock solution in acetone, preparing a 500 mg/mL PL90Hstock solution in ethanol (heat at 60° C. to dissolve) and thencombining 0.4 mL of the CX-157 stock solution with an appropriate amountof the PL90H stock solution in a vial (2 mL) to provide a mixture withthe desired ratios as shown in Table 3.

TABLE 3 (mg/vials) Mg/vial F-1 F-15 F-11 F-16 F-17 F-18 F-19 F-20 F-21F-12 CX-157 20 mg 20 mg 20 mg 20 mg  20 mg  20 mg  20 mg  20 mg  20 mg 20 mg PL90H 20 mg 40 mg 60 mg 80 mg 100 mg 120 mg 140 mg 160 mg 180 mg200 mg CX-157: 1:1 1:2 1:3 1:4 1:5 1:6 1:7 1:8 1:9 1:10 PL90H

The vials were each heated at 60° C. for 30 min to obtain a clearsolution, then the solvent was removed by SpeedVac (solvent to less than2%). To each vial was added 0.8 mL deionized-water and then placed onthe BB for 120 seconds to obtain a suspension.

The water was removed on a lyophilizer. The melting point and the heatof fusion were measured for the CX-157:PL90H complexes formed by theaqueous suspension method as shown in Table 4.

TABLE 4 Peak 1 Peak 2 Peak 3 (120-150° C.) (150-160° C.) (160-170° C.)Sample Melting Heat of Melting Heat of Melting Heat of (PL90H: pointfusion point fusion point fusion CX-157) (° C.) (μV-s/mg) (° C.)(μV-s/mg) (° C.) (μV-s/mg) PL90H 124.4 50.6 / / / / CX-157 / / / / 169.4120 (1:1) 128.1 3.4 / / 160.0 24.2 (2:1) 130.8 5.33 157.6 10.2  168.12.87 (3:1) 131.6 6.07 151.9 9.84 / / (4:1) 131.9 5.41 152.1 9.59 / /(5:1) 132.5 5.92 153.4 4.36 / / (6:1) 133.6 8.15 / / / / (7:1) 135.37.54 / / / / (8:1) 133.9 9.50 / / / / (9:1) 133.5 5.28 / / / / (10:1) 134.3 6.62 / / / /

Particles of complexes with a CX-157-to-PL90 ratio from 1:1 to 1:10produced by the aqueous suspension method, exhibited new endothermicpeaks (Peak 1 and Peak 2) with significantly reduced melting point andheat of fusion. Between 1:3 and 1:10 (CX-157-to-PL90 ratio), the CX-157original crystalline peak (169° C.) disappeared. The CX-157 (Form A)original crystalline peak (169° C.) was completely absent at a 1:3complex (CX-157-to-PL90 ratio). Additionally, the 1:3 complex(CX-157-to-PL90 ratio) formed nanoparticles (200-240 nm).

Example 4

Preparation of CX-157/PL90H (1:3, w/w) Complex by Spray Drying andVacuum Drying Processes

Vacuum Drying (RV) Preparation of CX-157/PL90H (1:3; w/w) Complex

The CX-157 and PL90H in the appropriate ratio were placed in a roundbottom glass flask. A mixture of solvent (acetone/ethanol=3/2 v/v,) wascombined with the CX-157 and PL90H and heated to 55-60° C. (bath temp)to obtain a clear solution. The solvent was removed, until the residualsolvent is about 10% w/w of the net weight, under reduced pressure(RotaVap: Buchi R-205; 200-250 mTorr) to provide a slightly yellow drymass. The dry mass was transferred onto a tray and then the tray isplaced into a vacuum oven. The dry mass was heated under vacuum (12-14mTorr) at 40° C. to further remove solvent until less than 0.5-1% bythermogravimetric analysis (TGA). The solid was passed a 100-mesh sieve(150 μm) and was then stored dry in a sealed container.

Spraying Drying (SD) Preparation of CX-157/PL90H (1:3; w/w) Complex

The CX-157 and PL90H in the appropriate ratio were placed in a glassbottle. A mixture of solvent (acetone/ethanol=3/2 v/v,) was combinedwith the CX-157 and PL90H and heated to 55-60° C. (bath temp) to obtaina clear solution. The solution was maintained at 55-60° C. then sprayingwas accomplished (Yamato Spray Dryer Model Pulvis GB22) using thefollowing conditions:

-   -   a. Flow rate: 4-5 mL/min    -   b. Drying air flow rate: 0.3-0.4 m³/min    -   c. Inlet temp: 85° C.    -   d. Outlet temp: 55-59° C.

The dry mass was transferred onto a tray and then the tray was placedinto a vacuum oven. The dry mass was heated under vacuum (12-14 mTorr)at 40° C. to further remove solvent until less than 2% by TGA bythermogravimetric analysis (TGA). The solid was passed a 100-mesh sieve(150 μm) and was then stored dry in a sealed container.

A comparison of the solid formed by vacuum drying (RV) and spray drying(SD) is shown in Table 5. The solids formed by the RV and SD processestake on about 7-8% water when exposed to 70% relative humidity.

TABLE 5 Powder properties SD RV Assay (%, w/w) 23.7 ± 0.2 22.1 ± 0.4Appearance Off white and fluffy Off white Bulk density (g/mL) 0.19 0.45Particle size 5-20 micron 20~100 micron TGA analysis solvent residues:~1.9% solvent residues: ~0.6%

Example 5 DSC Method for Differentiating Crystalline and AmorphousCX-157 in the Complex

The CX-157/PL90H (1:3; w/w) complex formed by the RV method was spikedwith 5%, 10%, 20%, and 50% crystalline CX-157 (Form A). For comparativepurposes 100% CX-157/PL90H (1:3; w/w) complex and 100% crystallineCX-157 (Form A) were included in the analysis, as shown in Table 6.

TABLE 6 Endothermic events and heat of fusion Peaks related to PL90H orcomplex Peak related to 120-140° C. 150-165° C. crystalline CX-157 HeatFusion Heat Fusion Heat Fusion Sample ID MP (° C.) (μV-s/mg) MP (° C.)(μV-s/mg) MP (° C.) (μV-s/mg) 100% CX-157/ 122.6; 56.8 156.3 4.07 No Nopeak PL90H complex 136.2 peak  5% Crystalline 121.6; 53.2 154.0 1 164.83.1 135.5; 10% Crystalline 122.3; 50.7 162.2 2.5 165.4 2.7 135.6; 20%Crystalline 122.0; 54.0 No peak No peak 166.1 11.0 135.7 50% Crystalline121.1; 46.4 No peak No peak 169.2 25.4 135.5 100% Crystalline  No peakNo peak No peak No peak 169.5 110

The sample with 100% CX-157/PL90H (1:3; w/w) complex had no peaksrelated to 100% crystalline CX-157 (Form A). Peaks related tocrystalline CX-157 (Form A) were detected in all spiked samples. Thecrystalline CX-157 (Form A) had a distinctive melting event at 169° C.The CX-157/PL90H (1:3; w/w) complex had 2-3 endothermic events up to165° C., well separated from the crystalline CX-157 (Form A) event. Thedata showed that DSC (differential scanning calorimetry) can detect thepresence of crystalline CX-157 in the CX-157/PL90H (1:3; w/w) complexdown to at least 5%.

The stability of RV and SD samples upon storage was analyzed. One RVsample was stored at 40° C. under 75% relative humidity (RH) in the openfor 19 days. Another RV sample was stored at 25° C. under 60% relativehumidity (RH) in the open for 19 days. One SD sample was stored at 40°C. under 75% relative humidity (RH) in the open for 19 days. Another SDsample was stored at 25° C. under 60% relative humidity (RH) in the openfor 19 days. No crystalline CX-157 (Form A) was detected in the storagesample as shown in Table 7.

TABLE 7 Endothermic events Peaks Heat Fusion Sample ID (° C.) (uV ·s/mg) (RV, Time 0) 154.8 4.86 (RV, 25° C./60% RH/open, 19 days) 155.35.09 F-11 (RV, 40° C./75% RH/open, 19 days) 155.5 6.02 (SD, Time 0)152.4 7.07 (SD, 25° C./60% RH/open, 19 days) 153.6 7.08 (SD, 40° C./75%RH/open, 19 days) 155.2 7.43

No sign of formation of crystalline CX-157 was observed in theIntermediate Stability Samples (19 days at 25° C./60% RH/open and 40°C./75% RH/open). However, moisture uptake by both SD and RV complexeswere detected.

Example 6

X-Ray Powder Diffraction (XRPD) as a Method to Detect Crystalline CX-157in SD and RV complexes

Method

SD preparation of CX-157/PL90H and RV preparation of CX-157/PL90H wereanalyzed on the Bruker D8 Advance x-ray diffractometer with a LynxEyedetector and Goble Mirrors. The conditions and instrumental settingswere:

1.6 Kw power

2-theta range=4, 5-35

Step size=0.02 degrees

Time per step=0.5s

Number of scans=1-2

Temperature=ambient −25° C.

Cell=low background cell, silicon 511 face

Air scattering slit

0.1° divergence slit

The XRPD of the SD preparation of CX-157/PL90H showed significantcrystalline character. In addition a second phase was likely present asmanifest in the broad peak in the ˜20-25° region and other backgroundscattering. The XRPD of RV preparation of CX-157/PL90H showed similartrends, with perhaps higher crystallinity but similar diffusescattering. Many of the peaks in the SD preparation pattern wereobserved in the relatively more crystalline RV preparation pattern.

The SD or RV samples (both T0 and 40° C./75% RH open for 40 days) didnot exhibit any peak that is characteristic of CX-157 (Form A),suggesting absence of crystalline CX-157 (Form A) in both CX-157/PL90Hpreparations. The SD preparation of CX-157/PL90H did not change XRPDpattern after exposure to 40° C./75% RH for 40 days, indicating aphysically stable material with no sign of conversion to crystallineCX-157 (Form A).

Example 7

Composition of SD Preparation of CX-157/PL90H (1:3; w/w) Complex at 125mg Strength

The SD preparation of CX-157/PL90H (1:3; w/w) complex was formulatedusing microcrystalline cellulose, mannitol, crospovidone, and magnesiumstearate in a variety of ratios. The A-1, B-1 and C-1 formulations shownin Table 8 provided a total mass of 1000 mg per pill to deliver 125 mgof CX-157. Formulation A-1 had no mannitol, formulation B-1 had nomicrocrystalline cellulose and formulation C-1 had a ratio ofmicrocrystalline cellulose to mannitol of 6:5. All formulations hadpharmaceutically acceptable appearance, weight, hardness and flow withno capping, punch sticking or fill weight problem.

TABLE 8 Composition of Formulation (mg/tablet) Components A-1 B-1 C-1CX-157/PL90H 500 (125 mg, 500 (125 mg, 500 (125 mg, (1:3; w/w) CX-157)CX-157) CX-157) Microcrystalline 440 0 240 cellulose Mannitol 0 440 200Crospovidone 50 50 50 Magnesium Stearate 10 10 10 Total 1000 1000 1000

Example 8

POLYMER SCREENING: Polymers were screened for their ability to stabilizeCX-157 in an amorphous state. Spray dried dispersions (SDD) wereprepared using a GEA-Niro SD Micro™ Spray Dryer (Niro Inc., Denmark).The Polymers screened were:

TABLE 9 Component Chemical Name HPMCAS-M Hydroxypropyl MethylcelluloseAcetate Succinate Eudragit L100-55 50:50 Copolymer of Methacrylic Acidand Ethyl Acrylate copovidone, Plasdone S-630 60:40 Copolymer ofVinylpyrrolidone and Vinyl Acetate povidone, Plasdone K-29/32Poly(vinylpyrrolidone)

Spray dried dispersions were analyzed by differential scanningcalorimetry (DSC) using a TA Instruments Q1000 modulated differentialscanning calorimeter (TA Instruments, New Castle, Del.) to determinecrystalline content. Three (3) out of the four (4) SDDs with 25% drugloading were amorphous: HPMCAS-M, copovidone and povidone (Examples9-11). The SDD containing Eudragit L100-55 was crystalline at 25% drugloading. The SDDs were analyzed by DSC after stressing open samplecontainers at 40° C./75% RH for 65 h, and these three CX-157/PolymerSDDs remained amorphous.

Drug Loading Experiment: Two polymers, copovidone and povidone, wereselected from the polymer screening experiments for further drug loadingexperiment. Six (6) spray dried dispersions (SDD) were prepared using aGEA-Niro SD Micro™ Spray Dryer. SDDs were prepared at 30, 35 and 40%drug loading.

Spray dried dispersions were analyzed by DSC to determine crystallinecontent. DSC results are shown below after production and afterstressing open sample containers at 40° C./75% RH for 65 h:

TABLE 10 DSC Result DSC Result Drug Loading Immediately After After 65 hat Polymer (w/w %) Spray Drying 40° C./75% RH copovidone  25%^(a)Amorphous Amorphous 30% Amorphous Amorphous 35% Amorphous Amorphous 40%Amorphous Amorphous povidone  25%^(a) Amorphous Amorphous 30% AmorphousAmorphous 35% Amorphous Amorphous 40% Crystalline Crystalline^(a)Samples prepared as part of polymer screening experiments; notrepeated during drug loading experiment.

PSD-1 Spray Dryer Experiments: Process development parameters, includingnozzle/orifice size, atomization rate/pressure, and inlet and outlet gastemperature, were examined on the R&D PSD-1 spray dryer.

A preferred process from these studies was:

TABLE 11 CX157 w/w %  2.5 copovidone w/w %  7.5 Acetone w/w % 90 DryerInlet Temperature, ° C. 95 (90-120 allowable) Dryer Outlet Temperature,° C. 52 (49-56 allowable) Process Gas Flow, kg/h 80 (75-90 allowable)Atomization Pressure, bar  1.0 (0.7-1.3 allowable)

Fluid Bed Drying Process: A secondary drying process using theNiro-Aeromatic MP-1 Fluid Bed Processor was developed to ensure thatresidual acetone levels meet the ICH guidelines. A drying curve isprovided in FIG. 1.

The final drying conditions were determined to be:

TABLE 12 Inlet Air Temperature, ° C. 50 (35-60 allowable) Airflow, CMH25 (20 to 100 allowable) Filter Cleaning Interval, s 60 (40-120allowable)

Example 9 1:3 CX-157:HPMCAS-M Spray Dried Dispersion

A solution of 2.5 g CX-157 (Albany Molecular Research Inc., Albany,N.Y.) and 7.5 g HPMCAS-M (Shin Etsu Chemical Co., Tokyo, Japan.) in333.3 g of a 2:1 (w:w) acetone:methanol solvent mixture was prepared.This solution was spray dried using a GEA-Niro SD Micro™ Spray Dryerusing heated Nitrogen as the drying gas. The CX-157/HPMCAS solution wasatomized using a 0.5 mm two-fluid Schlick nozzle, and the atomizing gaspressure was 0.5 bar. The inlet temperature was approximately 85° C. andthe outlet temperature was 55° C. The SDD product was collected in acyclone collector with a small baghouse collecting all the fines.Secondary drying was performed in a vacuum oven for 12 h at 35-45° C. atreduced pressure between −25 to −30 in Hg.

Example 10 1:3 CX-157:Copovidone Spray Dried Dispersion

A solution of 2.5 g CX-157 (Albany Molecular Research Inc., Albany,N.Y.) and 7.5 g copovidone (International Specialty Products Inc.,Wayne, N.J.) in 333.3 g of a 2:1 (w:w) acetone:methanol solvent mixturewas prepared. This solution was spray dried using a GEA-Niro SD Micro™Spray Dryer using heated Nitrogen as the drying gas. TheCX-157/copovidone solution was atomized using a 0.5 mm two-fluid Schlicknozzle, and the atomizing gas pressure was 0.5 bar. The inlettemperature was approximately 85° C. and the outlet temperature was 55°C. The SDD product was collected in a cyclone collector with a smallbaghouse collecting all the fines. Secondary drying was performed in avacuum oven for 12 h at 35-45° C. at reduced pressure between −25 to −30in Hg.

Example 11 1:3 CX-157: Povidone Spray Dried Dispersion

A solution of 2.5 g CX-157 (Albany Molecular Research Inc., Albany,N.Y.) and 7.5 g povidone (International Specialty Products Inc., Wayne,N.J.) in 333.3 g of a 2:1 (w:w) acetone:methanol solvent mixture wasprepared. This solution was spray dried using a GEA-Niro SD Micro™ SprayDryer using heated Nitrogen as the drying gas. The CX-157/povidonesolution was atomized using a 0.5 mm two-fluid Schlick nozzle, and theatomizing gas pressure was 0.5 bar. The inlet temperature wasapproximately 85° C. and the outlet temperature was 55° C. The SDDproduct was collected in a cyclone collector with a small baghousecollecting all the fines. Secondary drying was performed in a vacuumoven for 12 h at 35-45° C. at reduced pressure between −25 to −30 in Hg.

Example 12 25:75 CX-157:Copovidone Spray Dried Dispersion

A solution of 2.5 g CX-157 (Albany Molecular Research Inc., Albany,N.Y.) and 7.5 g copovidone (International Specialty Products Inc.,Wayne, N.J.) in 90 g acetone was prepared. This solution was spray driedusing a GEA-Niro SD Micro™ Spray Dryer using heated Nitrogen as thedrying gas. The CX-157/copovidone solution was atomized using a 0.5 mmtwo-fluid Schlick nozzle, and the atomizing gas pressure was 0.5 bar.The inlet temperature was approximately 85° C. and the outlettemperature was 55° C. The SDD product was collected in a cyclonecollector with a small baghouse collecting all the fines. Secondarydrying was performed in a vacuum oven for 12 h at 35-45° C. at reducedpressure between −25 to −30 in Hg.

Example 13 35:65 CX-157:Copovidone Spray Dried Dispersion

A solution of 3.5 g CX-157 (Albany Molecular Research Inc., Albany,N.Y.) and 6.5 g copovidone (International Specialty Products Inc.,Wayne, N.J.) in 90 g of acetone was prepared. This solution was spraydried using a GEA-Niro SD Micro™ Spray Dryer using heated Nitrogen asthe drying gas. The CX-157/copovidone solution was atomized using a 0.5mm two-fluid Schlick nozzle, and the atomizing gas pressure was 0.5 bar.The inlet temperature was approximately 85° C. and the outlettemperature was 55° C. The SDD product was collected in a cyclonecollector with a small baghouse collecting all the fines. Secondarydrying was performed in a vacuum oven for 12 h at 35-45° C. at reducedpressure between −25 to −30 in Hg.

Example 14 25:75 CX-157:Povidone Spray Dried Dispersion

A solution of 2.5 g CX-157 (Albany Molecular Research Inc., Albany,N.Y.) and 7.5 g povidone (International Specialty Products Inc., Wayne,N.J.) in 90 g of a 2:1 (w:w) acetone:methanol solvent mixture wasprepared. This solution was spray dried using a GEA-Niro SD Micro™ SprayDryer using heated Nitrogen as the drying gas. The CX-157/copovidonesolution was atomized using a 0.5 mm two-fluid Schlick nozzle, and theatomizing gas pressure was 0.5 bar. The inlet temperature wasapproximately 85° C. and the outlet temperature was 55° C. The SDDproduct was collected in a cyclone collector with a small baghousecollecting all the fines. Secondary drying was performed in a vacuumoven for 12 h at 35-45° C. at reduced pressure between −25 to −30 in Hg.

Example 15 1:3 CX-157:Copovidone Spray Dried Dispersion

A solution of 1.25 kg CX-157 (Albany Molecular Research Inc., Albany,N.Y.) and 3.75 kg copovidone (International Specialty Products Inc.,Wayne, N.J.) in 45 kg acetone was prepared. This solution was spraydried using a GEA-Niro PSD-1 Spray Dryer using heated Nitrogen as thedrying gas. The CX-157/copovidone solution was atomized using a 1.0 mmtwo-fluid Schlick nozzle, and the atomizing gas pressure was 1.0 bar.The inlet temperature was approximately 95° C. (90-120° C. allowablerange) and the outlet temperature was 52° C. (49-56° C. allowablerange), and the process gas flow rate was 80 kg/h (75-90 kg/h allowablerange). The SDD product was collected in a cyclone collector with abaghouse collecting all the fines.

Secondary drying was performed in a Niro-Aeromatic MP-1 Fluid BedProcessor as a fluid bed dryer with a standard 21 L container. Theproduct retention screen had a mesh size of 100 and the exhaust filterbags were 3 to 20 μm. During fluid bed drying of the SDD powder, thetarget inlet air temperature was 50° C. (35-60° C. allowable range), theairflow rate was 25 CMH (20-100 CMH allowable range), and the filtercleaning interval was 60 s (40-120 s allowable range).

Example 16

Enteric-Coated Sustained Release Tablet Formulation

Enteric Capsules of 3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin10,10-dioxide (60 mg/capsule)

Materials Core Sucrose-starch nonpareils, 30-35 mesh 134.15 mg SustainedRelease Active layer 3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 60mg 10,10-dioxide Sucrose 25.72 mg Hydroxypropylmethylcellulose 12.89 mgSeparating layer Hydroxypropylmethylcellulose 9.45 mg Sucrose 28.24 mgTalc, 500 mesh 50.21 mg Enteric layer HPMCAS-LF 65.66 mg Triethylcitrate 13.14 mg Talc, 500 mesh 39.66 mg Finishing Layer Color mixturewhite (HPMC + titanium dioxide) 43.02 mg HPMC 10.78 mg Talc Trace

The active layer was built up by suspending3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide 25% w/w ina binder solution consisting of 6.4% w/w sucrose and 3.2% w/whydroxypropylmethylcellulose (HPMC). The resulting suspension was thenpassed through a Coball Mill (Fryma Mashinen AG, Rheinfelden,Switzerland) Model MS-12 to reduce the particle size of the bulk drug.The milled suspension was applied to 1.5 kg of sucrose starchnon-pareils in a fluid bed dryer fitted with a Wurster column. Uponcompleting the application of the desired quantity of active ingredientsuspension, the core pellets were completely dried in the fluid beddryer.

The separating layer which contains talc 12% w/w, sucrose 6.75% w/w andhydroxypropylmethylcellulose 2.25% w/w was then applied as an aqueoussuspension to the active core pellets. Upon completing the applicationof the desired quantity of suspension, the pellets were completely driedin the fluid bed dryer.

The enteric coating aqueous suspension containedhydroxypropylmethylcellulose acetate succinate type LF 6% w/w, talc 1.8%w/w, triethyl citrate 1.2% w/w which is fully neutralized by theaddition of 0.47% w/w ammonium hydroxide. This enteric coatingsuspension was applied to the separation layer coated pellets. Uponcompleting the application of the desired quantity of enteric coatingsuspension, the pellets were completely dried in the fluid bed dryer anda small quantity of talc was added to reduce static charge.

A finishing layer was then applied which contains color mixture white(comprised of titanium dioxide and hydroxypropylmethylcellulose) 8% w/wand hydroxypropylmethylcellulose 2% w/w. Upon completing the applicationof the desired quantity of color coating suspension, the pellets werecompletely dried in the fluid bed dryer and a small quantity of talc wasadded to reduce static charge. The resulting pellets were assayed foractive content and filled into capsules to provide 60 mg of3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide.

Specific pharmacological responses observed may vary according to anddepending on the particular active compound selected or whether thereare present pharmaceutical carriers, as well as the type of formulationand mode of administration employed, and such expected variations ordifferences in the results are contemplated in accordance with practiceof the present invention.

Although specific embodiments of the present invention are hereinillustrated and described in detail, the invention is not limitedthereto. The above detailed descriptions are provided as exemplary ofthe present invention and should not be construed as constituting anylimitation of the invention. Modifications will be obvious to thoseskilled in the art, and all modifications that do not depart from thespirit of the invention are intended to be included with the scope ofthe appended claims.

Since modifications will be apparent to those of skill in this art, itis intended that this invention be limited only by the scope of theappended claims.

1. A pharmaceutical product comprising a) an admixture of3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide; and b) astabilizer, wherein the ratio of a) to b) is from about 2:3 to about1:10.
 2. The pharmaceutical product of claim 1, wherein the3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide andstabilizer are a solid-form unilamellar matrix.
 3. The pharmaceuticalproduct of claim 1, wherein no more than 10 percent of the total3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide changesmorphology when the pharmaceutical product is stored for 40 days at 40°C. under 75% relative humidity.
 4. The pharmaceutical product of claim1, wherein no more than about 10 percent of the total3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide is incrystalline form.
 5. The pharmaceutical product of claim 1, wherein theadmixture comprises up to 5%, 10%, 15%, 20%, 25%, 30%, 35% or 40%3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide.
 6. Thepharmaceutical product of claim 1, wherein the product comprises a corewhich comprises active ingredient or ingredients; and an enteric coatingsurrounding the core.
 7. The pharmaceutical product of claim 1, whereinthe product provides plasma levels of phenoxathiin-based MAO-A inhibitorranging from about 40 ng/ml to about 80 ng/ml.
 8. The pharmaceuticalproduct of claim 1, wherein the stabilizer is a copolymer ofvinylpyrrolidone and vinyl acetate, poly(vinylpyrrolidone),hydroxypropyl methylcellulose acetate succinate, hydrogenatedphosphatidylcholine, a copolymer of methacrylic acid and ethyl acrylate,or a mixture thereof.
 9. A process for making a pharmaceutical productof 3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide,comprising the steps of: i) dissolving about 2 parts by weight or lessof 3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide andabout 3 parts by weight of a stabilizer in an organic solvent; and ii)removing the organic solvent.
 10. The process of claim 9, furthercomprising the steps of: iii) adding an aqueous liquid to the product ofstep ii) and mixing the resultant suspension; and iv) when step iii) isperformed, subsequently removing the aqueous liquid.
 11. The process ofclaim 9, wherein the 3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin10,10-dioxide in step (i) is Form A.
 12. A pharmaceutical productcomprising an admixture of3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide as anactive ingredient; a stabilizer; and at least one excipient, wherein theratio of 3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide toa total at the least one excipient is from about 1:1 to about 1:4. 13.The pharmaceutical product of claim 12, wherein the ratio of3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide to a totalat the least one excipient ranges from about 1:2 to about 1:3.
 14. Asolid-form unilamellar matrix comprising an admixture of3-fluoro-7-(2,2,2-trifluoroethoxy)phenoxathiin 10,10-dioxide as anactive ingredient; and a stabilizer.
 15. A method of inhibitingmonoamine oxidase-A (MAO-A) in a mammal identified as being in need ofinhibition of MAO-A comprising administering a therapeutically effectiveamount of the pharmaceutical product of claim
 1. 16. A method oftreating or preventing a psychiatric disorder or psychiatric diseasecomprising administering a therapeutically effective amount of thepharmaceutical product of claim
 1. 17. The method of claim 16, whereinthe psychiatric disorder or psychiatric disease is selected from thegroup consisting of major depressive disorder, dysthymia, childhooddepression, atypical depression, bipolar disorder, mania and hypomania,generalized anxiety disorder, social anxiety disorder, obsessivecompulsive disorder, panic disorder, post-traumatic stress disorder,premenstrual dysphoric disorder, attention deficit disorder, panicdisorder, anergic depression, and treatment-resistant depression.